AMANDA VEGA

BOISE, ID
NPI1609582592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  63894)
Enumeration Date2023-01-25
Last Update Date2023-01-25
Business Address
AMANDA VEGA LPN
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
Mailing Address
AMANDA VEGA LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000